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Monday 09:00 - 17:00 Tuesday 09:00 - 17:00 Wednesday 09:00 - 17:00 Thursday 09:00 - 17:00 Friday 09:00 - 17:00 Saturday 09:00 - 17:00

Dr.Emine Nur Tozan, Teşvikiye mah. Hakkı Yeten cad. No:13 Terrace Fulya Center-2, Kat:10 Daire: 58 Şişli, Istanbul (2025)

Q: What is the address?

Teşvikiye Mah. Hakkı Yeten Cad. No:13 Terrace Fulya Center-2, Kat:10 Daire: 58 Şişli

03/01/2024

COULD YOU HAVE FIBROMYALGIA?

🅾️Pain with widespread symmetrical involvement?
🅾️Foggy brain, poor memory, chronic headaches, sleep disorders, anxiety and depression?
🅾️Weakness or noise in joint movement in the shoulder, elbow, hip and knee joints, including the jaw joint?
🅾️Stomachburn, reflux, digestive problems and nausea-vomiting?
🅾️ Skin dullness, rashes, itching and redness?
🅾️Eye doctor blurred vision, rapid progression of eye disorder?
🅾️Widespread pain, weakness, cramps in your muscles?
🅾️ Pain in the chest cage and inability to breathe?
🅾️ Disruptions in kidney and reproductive functions?
☢️If you answer YES to 5 of these questions and system disorders, you can get a preliminary diagnosis of FIBROMYALGIA!!
☢️Research warns us that 10-15% of the western population has FIBROMYALGIA and that these complaints may also occur in metabolic diseases (diabetes and high blood pressure), but that the differential diagnosis should be made very carefully, especially in rheumatic diseases!!
What is the reason?
It is described as the disruption of the connection between the musculoskeletal system, hormonal system and nervous system in the body due to the psychological and physical traumas experienced from childhood, adolescence, adolescence and the beginning of middle ages until reaching these ages.
It seems to be difficult to treat.
However, the rate of patients receiving treatment during this long-term journey together between the patient and the doctor is quite high!!!

29/12/2023

SWIMMING AND BACK PAIN

Our summer holidays have started. 🌴🏖️
🏊🏼‍♀️Resistance to water and the simultaneous and powerful work of all muscles make swimming a more preferred sport.

🏊🏼‍♀️Swimming; The load of the computer system does not change, making the options more convenient.

🏊🏼‍♀️Swimming regulates breathing.
🏊🏼‍♀️Swimming reduces the load on the muscles and spinal cord anatomy.

🏊🏼‍♀️Swimming provides a lot of benefits, especially since it does not put any load on the hip and knee joints.

🏊🏼‍♀️Swimming is a sport that burns serious calories.
🏊🏼 ♀️ It is not necessary to be a professional runner, even doing "WALKING IN WATER AND OTHER MOVEMENTS" continues to provide serious injury support and support to the spinal cord, especially in "BACK PAIN".

🏊🏼‍♀️I would like to briefly summarize a piece that is held independently, especially made with a “waist belt and treadmill”;
💙For 2022: in the meta-analysis summarizing walking, cycling and running, licensed controls for 2362 people; There were no very different results for "low back pain" that did not require surgery; However, in one of them; SWIMMING can be more profitable in short and long terms🏊🏼‍♀️🙋🏻‍♀️

29/12/2023

BACK PAIN and LAYING TYPE

🛏️ Good sleep improves
🛏️ Preservation of the physiological state of melatonin during sleep,
✅ maintains circadian rhythm
✅ pain reliever,
✅ anti-inflammatory,
✅ anti-oxidant
✅ Creates an anti-aging effect

🛏️ Low back pain is the second most common chronic pain after headache.

🛏️ In our spine, we have lordosis (curve inwards) in our neck and waist, and kyphosis (curve outwards) in our back and hips.

🛏️ In cases of defined or undefined waist or neck hernias and pain, mistakes we make while lying down can worsen our condition.

🛏️ And vice versa, modalities aimed at supporting and protecting physiological folds, most importantly our lying position, reduce the speed of the current disorder and support the treatment.

🛏️ Ergonomically, it is recommended to support the curves of the spine, whether lying on your back or side.

🛏️ It is recommended that patients with low back pain do not lie face down.

29/12/2023

CHRONIC PAIN and LIFE
📌Emotions
📌Movement
📌Social life
📌Family life
📌Focus
📌Business life
📌Sleep
📌Fatigue
In fact, chronic pain is a vicious cycle.
All of these substances cause pain. Chronic pain causes all of these substances to deteriorate.
We do not feel pain in happy moments, but we feel it more intensely in sad moments.
If we cannot move, we have pain; if we have pain, we cannot move.
Where your pain is, your mind is there, our social and family life is interrupted.
If we have pain somewhere, we cannot focus on life and our work.
Scientific data also shows this; insomnia is a cause of chronic pain, chronic pain is a cause of insomnia.
Not being able to do what you want, interruption of the flow of life, deterioration of family and social relationships, not having enough physical and psychological energy cause FATIGUE and PAIN.
WHAT SHOULD WE DO?
🔎Let's talk to someone who knows chronic pain treatment,
🔎Let's eat less,
🔎Let's move a lot,
🔎Let's review our sleep hygiene and habits.

18/12/2023

VITAMIN B1 and PAIN (Thiamine)

💊Vitamin B1 (thiamine) is the first vitamin in the B vitamins group. It is a water-soluble and non-accumulating vitamin.
💊Used by all cells
💊It is responsible for converting food into energy

💊Plays an important role in brain, nervous system, muscle, heart and gastrointestinal functions.
💊 It is one of the vitamins that must be at a certain level in the central nervous system and all nerves in the body and plays a key role in communication.
💊Reduces the harmful effects of smoking and alcohol
💊It is an anti-oxidant and delays the aging of our skin.

🥗 Deficiency is not seen in those who eat a balanced diet and do not consume alcohol.
🥗 Increased consumption of alcohol, tea and coffee may cause deficiency.
🥗It is found in large amounts in grains, legumes, animal foods, seeds such as hazelnuts and walnuts.

IN LACK OF
⚕️Neuropathic pain: burning, stinging, tingling and numbness in the hands and feet,
⚕️ Weakness in hands, feeling of not being able to take steps comfortably in feet
⚕️ Forgetfulness, depression-like mood, confusion, fatigue, loss of appetite, constipation
⚕️Weight loss, cardiovascular diseases, dryness, itching and flaking of our skin
⚕️Visual disorders, general fatigue and PAIN in all muscles may cause symptoms.

TREATMENT
💊 Preferably using intensive and only vitamin B 1 preparations for at least a month, sometimes two months.
💊 Supplementing vitamins B1-B6-B12 with intramuscular injection once a month
💊 Minimizing alcohol, tea and coffee consumption
💊 To be able to consume as balanced a diet as possible every day.
💊 Treating neuropathic pain with concurrent medications and or intervention.

17/12/2023

Iceberg;

🧊 It is one of the words that we all use to describe things at certain periods of our lives.

🧊This is the terminology you frequently use in chronic pain.

🧊 The bottom of the chronic pain clinic is very deep
🧊 Its physiopathology is complex and some pathways are still unexplained.

🧊 A person who says "I have pain" does not just have pain.

🧊 Past experiences, psychological and physical traumas, all the diseases he has suffered, social environment, family environment, work environment and spouse, all these are under the iceberg.

🧊Under water; There are many complaints that accompany pain and cannot be perceived as pain.

🧊 Under water; There are many complaints that increase the pain accompanying the pain, cause the PAIN to become chronic, and require treatment of the PAIN.

🧊Summary: CHRONIC PAIN is a disease that persists for more than three months, disrupts the quality of life, and requires treatment.

15/12/2023

COFFEE and PAIN

☕️ A beverage enjoyed by many, for which wars have been fought, and around which major investment and retail chains revolve.
☕️ It's a drink that symbolizes countries, like our "Turkish Coffee."
☕️ There are over 50,000 scientific studies on coffee and caffeine.
☕️ Caffeine is not only found in coffee but also in pain relievers, energy drinks, and supplement products, utilized for its stimulating, energy-boosting, and anti-inflammatory properties.
☕️ Like any substance, when consumed in moderate doses, it has been found to:
📍 Have a calming effect
📍 Reduce body fat accumulation
📍 Exhibit pro-inflammatory effects
📍 Though its anti-inflammatory effects are not definitively proven, regular coffee consumption by patients with hepatitis-C and HIV has shown to improve memory disorders
📍 Its neuroprotective effect (on nerve cells) has been proven beneficial in conditions like multiple sclerosis (MS), reducing muscle fatigue and improving memory
📍 Particularly in women, it has been noted to significantly reduce the risk of stroke, dementia, and depression
📍 Scientific studies have shown that long-term excessive coffee consumption can exacerbate migraines, yet suddenly stopping it can trigger migraine attacks. To avoid "caffeine withdrawal headaches," it is advised not to exceed 200 mg of caffeine per day. Drinking 1-2 cups of Turkish coffee or 1-2 medium cups of black, sugarless filter coffee is recommended, preferably not after 2:00 PM.

Why did I want to share about coffee? My patients say that caffeine in a medication relieves their pain, TRUE, some say drink coffee, TRUE, but I wanted us to understand its dosage and effects 🙋🏻‍♀️

14/12/2023

FOOT HEALTH and PAIN IN THE SPINE

👣 Foot pain; It is seen at a rate of 37% in the whole society (adult, the same age, as a result of a study examining approximately 3000 people).

👣 Foot pain and sole disorders cause spinal disorders and 87% of "Low Pain".

👣 We have orthopedic specialist physicians who treat pain and diseases related to the field of Orthopedics and Traumatology and even specific pain and diseases related to the foot.
For this reason, it is recommended that those with foot pain first apply to this branch team.

👣 The science of algology is involved in the diagnosis of these pains, in the investigation of the cause of patients with low back pain, in their triage and in the "interventional pain treatment" phase.

⚕️ REASONS

👣Achilles tendinitis
👣Anatomical defects in the thumb
👣Foot sole anatomical structure disorders (excessively curved soles or flat feet)
👣Calluses
👣Morton's neuroma (especially stiletto style) can be caused by shoe choices or sports that strain the foot (running?).
👣Heel spur
👣Metatarsalgia: pain, throbbing when the toes touch the ground
👣We can list the most common ones such as plantar fasciitis.

⚕️DIAGNOSIS AND TREATMENT

🟠No treatment should be started without seeing our orthopedic specialists.
🟠Nile treatment with shoes and insoles
🟠Interventional pain treatment can be applied to patients with nerve damage and muscle-tendon damage.
🟠In symmetrical pains of both feet; Metabolic diseases, endocrine diseases that cause neuropathic pain, and diseases related to the waist and knee anatomy should be investigated.
🟠 Especially for patients who apply to us due to back pain, regardless of their age, their foot pain should be questioned during a foot examination and the treatment should be planned together with orthopedic specialist friends.

12/12/2023

MELATONIN, SLEEP and CHRONIC PAIN

📍Known as the sleep hormone
📍It has a critical role in circadian rhythm
📍Activated and released during sleep and darkness
➡️ Anti-oxidant
➡️ Anti-inflammatory
➡️ Anti-apoptotic (prevents cell death)
➡️ Anti-sympathetic nervous system activation
➡️ Protection of intravascular structures
➡️ Repair of nerve cells
➡️ Repair of the liver
➡️ Strengthening immunity
➡️ Regulation of the body temperature system
➡️ Improving our mood
➡️INLAMATION = FIRE, which is especially involved in the physiopathology of conditions caused by metabolic diseases and chronic pain.

It has a great role in the repair of
📌That's why it compiles, collects and treats the bad traffic between the regulation and quality of SLEEP, chronic pain and the immune-metabolic system...
📌If we cannot control our sleep ourselves, we apply methods to help our sleep and treat our chronic pain with some vitamins, minerals or melatonin recommended by our doctor.

12/12/2023

PAIN IN OUR SHOULDERS AND BACK

📍Since the neck, back and shoulder are close to each other and connected by joints, the pains in these areas are mixed together.

📍In our chest; Inside, there are lungs, heart, esophagus and respiratory pipe, diaphragm separating the intra-abdominal organs, and outside, there are ribs, back vertebrae, muscles and nerves surrounding all these structures.

📍If the back pain appears suddenly, stabs, feels like something is being cut, burning is qualified and very severe; Emergency diseases of internal organs, including the heart, can be considered‼️

📍For long-lasting and increasing neck, shoulder and back pain;

➡️Fibromyalgia
➡️Cervical hernia
➡️Problems in shoulder joints
➡️Hernias of the back vertebrae
➡️Osteoporosis
➡️Spine deformities such as scoliosis and kyphosis
➡️Rheumatic diseases
➡️Diseases diagnosed as cancer that can spread in the bones (such as breast, lung, prostate)
➡️Referred pain

📍The aim is to find the cause of the pain.
📍In addition to Algology, support and opinions can be obtained from other branch physicians in the cause-oriented treatment.
📍First of all, our patients are monitored with painkillers. "Interventional pain treatment" methods can be applied for the purpose of more permanent, longer-term treatment.

12/12/2023

PHONES and TENSION TYPE HEADACHES
RESULTS AND TREATMENT

📵CONCLUSION: If you are one of those who say to my patients with screen time of 3 hours or more (and as a result of the research): "I wake up with a headache every morning and my PAIN continues in my temples, neck, shoulders and back during the day"!!
Let's try to REDUCE YOUR SCREEN TIME.

✅RECOMMENDATIONS IN TREATMENT
📍Foods that increase attacks (carbohydrates) and staying away from phones and white screens
📍Sleep duration (at least 6-7 hours) and quality sleep
📍Relaxation techniques we can do ourselves (Breathing, yoga, meditation)
📍Treatment if there is teeth grinding
📍Increasing the amount of water and reducing tea and coffee
📍Drinking caffeinated drinks during pain attacks
📍Applying hot/cold according to previous experiences
📍Massaging the temples, neck and jaw muscles with aromatic oils
📍Do meditation if we can by isolating ourselves for 10-15 minutes from all the warnings around us..

Despite the recommended methods, "chronic tension headaches" ⬇️⬇️
📌injection into trigger points
📌injections with prolotherapy and neuraltherapy
📌 "Interventional pain treatments" for hernia and nerve compression, if present in the cervical spine
📌Treatment of sensitive points with radiofrequency methods, GON, LON blocks
📌It is recommended to continue the ongoing medical medications under the supervision of the doctors and especially to take "magnesium glycinate" before going to bed in the evening.

Dr.Emine Nur Tozan

03/01/2024

29/12/2023

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12/12/2023

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Monday	09:00 - 17:00
Tuesday	09:00 - 17:00
Wednesday	09:00 - 17:00
Thursday	09:00 - 17:00
Friday	09:00 - 17:00
Saturday	09:00 - 17:00